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[Sexual Dysfunction in Primary Health Care].

Martin A Gürtler1, Patrick Brunner2, Kenneth M Dürsteler-MacFarland3

  • 11 Gesundheitszentrum Allschwil.

Praxis
|January 10, 2019
PubMed
Summary

Sexual dysfunction is common in primary care patients, yet often unaddressed. Psychological stress, particularly in men, warrants discussion of sexual health, even with no apparent risk factors.

Keywords:
FSFIIIEFRisikofaktorenSexualitySexualitätSexualitéfacteurs de risquepsychosocial stresspsychosoziale Belastungrisk factorsstress psychosocial

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Area of Science:

  • Primary Health Care
  • Sexual Health
  • General Practice

Background:

  • Sexual dysfunctions are prevalent yet frequently overlooked in primary health care settings.
  • Many patients do not discuss sexual health concerns with their physicians, nor are they prompted to do so.

Purpose of the Study:

  • To investigate the prevalence of sexual dysfunction in general practice patients.
  • To explore the influence of lifestyle and psychosocial factors on sexual dysfunction.

Main Methods:

  • A sample of general practitioner (GP) patients completed validated questionnaires.
  • Data collected included information on sexuality, psychosocial status, and lifestyle factors.

Main Results:

  • The study included 30 women and 37 men; most had never discussed sexual health with a doctor.
  • While 75% showed no evidence of sexual dysfunction, men with dysfunction reported higher psychological stress.
  • A significant portion of patients exhibited sexual dysfunction despite a seemingly unremarkable medical history regarding risk factors.

Conclusions:

  • Sexual dysfunction affects approximately a quarter of primary care patients, necessitating proactive inquiry.
  • Routine screening for sexual dysfunction is crucial, irrespective of apparent risk factors like alcohol, tobacco, or depression.
  • Psychological stress, especially in men, should prompt physicians to initiate conversations about sexual health.